Summer Youth Leadership Program - June 2024

Program Application

Thank you for your interest in the Summer Youth Leadership Program. This program will be held Monday through Friday, from 1:00 to 5:00 pm, June 17-21 and 24-28 2024 at HRN in Weaverville. We will cover topics such as healthy relationships, tobacco education, health, public speaking, and how to make positive changes in your community. Please answer the following questions.

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1. Contact Information

Name *

Address *

City/Town *

State/Province *

ZIP/Postal Code *

Email Address

Phone Number *

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2. What school do you attend?

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3. What grade will you be in next school year?

9th

10th

11th

12th

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4. Why would you like to be involved in this program?

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5. Are you involved in any school clubs, groups, or other activities?

Yes

If yes, which groups or activities are you involved in?

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6. Tell us about any problems or issues that you have noticed in your school, town, or community that you would like to solve.

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7. Will you be able to attend all of the scheduled sessions on June 17-21 and 24-28, 2024?

Yes

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8. Do you have any dietary restrictions?

Vegetarian

Dairy

Gluten

Other

If other, please list

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9. What is your shirt size?

Thank you for your interest in the Summer Leadership Program. We will be reviewing applications and let you know if you are accepted.

If you have any questions, please contact Samantha Tosetti by email at stosetti@hrntrnity.org or phone at (530)623-2024.